| NPI | 1467985945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ZITNIK Owner 480-888-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-13 |